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molte persone con disturbi di personalità (pd) hanno problemi a contemplare gli stati mentali e ad usare la conoscenza psicologica per far fronte alla loro sofferenza e risolvere problemi sociali, l'abilità chiamata metacognizione in questo articolo. i terapisti possono concentrarsi sulle disfunzioni metacognitive al fine di adattare il trattamento pd alle capacità metacognitive dei clienti.
clinicians recognize any dysfunctional relationships with patients and work to achieve attunement to make the latter aware of their problematic interpersonal patterns. the authors illustrate here the case of a man suffering from obsessive–compulsive and avoidant personality disorders with dependent traits. he underwent combined individual and group therapies to (a) modulate his perfectionism, (b) prevent shifts towards avoiding responsibilities to protect himself from feared negative judgments, and (c) help him acknowledge suppressed desires. we show how treatment focused on the various dysfunctional personality aspects. & 2008 wiley periodicals, inc. j clin psychol: in session 64: 168–180, 2008.
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